Impact of retrowalking on pain, range of motion, muscle fatigability, and balance in collegiate athletes with chronic me
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ORIGINAL ARTICLE
Impact of retrowalking on pain, range of motion, muscle fatigability, and balance in collegiate athletes with chronic mechanical low back pain Sumbul Ansari1 · Shahid Raza1 · Pooja Bhati1 Received: 25 February 2020 / Accepted: 25 July 2020 © Springer-Verlag Italia S.r.l., part of Springer Nature 2020
Abstract Background Low back pain (LBP) has been found to profoundly increase in athletes in the last decade. There are numerous treatment options available for LBP of which retrowalking seems to be a promising option for these patients; however, its potential utility in athletes is not known yet. Aim To investigate the effect of addition of retrowalking to conventional exercises on pain, range of motion, muscle fatigability, and balance in collegiate athletes with chronic mechanical LBP. Methods Subjects were screened using Oswestry Disability Index (ODI) and those having mild-to-moderate disability were included in the study. A sample of 30 athletes were randomly assigned into two groups, retrowalking + conventional exercise (n = 15) and conventional exercise (n = 15). Pain, flexion range of motion, balance, and muscle fatigability were examined before and after 4 weeks of the intervention. Retrowalking group performed retrowalk on a treadmill at self-paced speed for 15 min/day for 3 days per week for 4 weeks along with the conventional exercises for back pain, whereas participants in the control group performed conventional exercises alone for the same duration. Results Significant differences were observed in pain (p = 0.003) and balance (p = 0.003) between the groups after the intervention period, signifying greater improvement in the retrowalking group. No significant group differences were observed for flexion range of motion (p = 0.97) and muscle fatigability (p > 0.05). Conclusions Main findings of the present study suggest that retrowalking when added to conventional exercises may be helpful in reducing chronic mechanical LBP and improving dynamic balance. Whereas retrowalking when combined with conventional exercises has no additional effect in improving the flexion range of motion and reducing muscle fatigability. Keywords Mechanical low back pain · Balance · Fatigability · Range of motion Abbreviations ODI Oswestry disability index LBP Low back pain NPRS Numeric pain rating scale EMG Electromyography
* Shahid Raza [email protected] Sumbul Ansari [email protected] Pooja Bhati [email protected] 1
Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia (A Central University), New Delhi 110025, India
Introduction Low back pain (LBP) is nowadays one of the most widely experienced health-related problems. The symptoms of LBP usually appear between the age of 30 and 50 in general population; however, it has been recorded in athletes in as early as initial twenties [1]. LBP, in athletes, is a common pain syndrome that accounts for 28% of missed training days per year, with a prevalence rate of 39% for 12 months and a lifetime prevalence of 60% dep
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